The first time I heard the term Manic Depression in relation to Jaco
was in 1982 during a phone conversation
with Peter Erskine,
who had just finished the Japan Word of Mouth tour.

Peter called to tell of Jaco's behavior,
and the aberrant activities that had taken place in Japan.
He said his father, Dr. Fred Erskine, had unofficially determined
that Jaco might be suffering from the bi-polar condition, and could possibly benefit from taking Lithium.

Shortly there after came a similar concerned call from
Ron Tooley,
who, after finishing the Japan tour as well, was with Jaco and Mary visiting the island of Kauai, Hawaii.

After Jaco returned home, his psychological pain was apparent.
I had no other choice but to admit him into a mental hospital, via theFlorida Baker Act,
one of the most difficult things I have ever had to do.
It was during this initial hospitalization that he was officially diagnosed with Manic Depression,
and placed on Lithium. Tests also revealed that there was enough liver damage due to alcohol abuse, to be concerned.

After two weeks in the facility, he convinced the doctors
he was well enough to attend a pre-scheduled performance
with Peter Graves on the West Coast of Florida,
and promised to return, which he did not...

It wasn't until July 1986, after receiving numerous collect calls
from the basketball courts in the Village (New York)
that I became aware of Jaco's severely burdened mental state.
I interrupted my work, and borrowed money to immediately take a flight to New York.
With Gregory Pastorius' help, a letter from Dr. Erskine,
and a diagnosis by Dr. Kenneth Alper from Bellevue Hospital,
Jaco again was admitted into the appropriate facility at Bellevue.

At the time he was being admitted, he told Dr. Alper
that he didn't want to take Lithium because of the side affects,
which is when he was placed on Tegretol instead.

In 1987, after he moved back to Florida,
and during a serious breakdown,
I urged his brothers to hospitalize him again,
for I simply could not do it anymore.
They did, but it was to no avail...

Throughout it all, he simply could not adhere to taking the medication..